| Proactive Md Greenville Health Center | |
|
86 Villa Rd Greenville SC 29615-3052 | |
| (864) 501-0751 | |
| Not Available |
| Full Name | Proactive Md Greenville Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 86 Villa Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Jody Addair (CLINICAL OPS PROJECT COORD.) |
| Authorized Official Contact | 8645010751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Md Greenville Health Center 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | Proactive Md Greenville Health Center 86 Villa Rd Greenville SC 29615-3052 Ph: (864) 501-0751 |
| NPI Number | 1184345159 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184345159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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